245946 06/03/15 0]11111-�
CITY OF CARMEL, INDIANA VENDOR: 237300
ONE CIVIC SQUARE PARTY TIME RENTAL INCCHECK AMOUNT: S*******195.43*
CARMEL, INDIANA 46032 7250 N KEYSTONE AVE CHECK NUMBER: 245946
INDIANAPOLIS IN 46240 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 139538 195.43 ADULT CONTRACTORS
Carmel c. Clay
Parks&Recreation CHECK REQUEST
Date:
MAY 2 2 2015
Check Payable to:
Name: r erne V—en-ta.k
Address: -7-2- 60 N , Ke 4 Slime P1 e-.
City, State, Zip ndo k , ►'1 ` Lt 2-
Mail
Mail check to payee X Return check to requestor
Check Amount: $ q 53 Date Required: OU
Check needed-for. ! 1nQ - C-Cnf 12arj(-,Kk n-e - \I-Pnn 6 br -
To be paid from:
PO#(if applicable)
Budget account- GL#
up ties
Budget Line Description_ Su.Mmf-r UX perV'i �,n«. -e-*
Supporting documentation or receipt(s)MUST be attached
Requested by (print): S itpNbI)( N aL�-E-Y2
Requested by (signature): @'l6CXIL44-) Wa&-e tG
Approved by(signature of Division Manager):
on this date
Form revised 1-21-08
J p
7250 North Keystone Ave. " ' "�� (317) 536-2022
Indianapolis, IN 46240A.Y 2 2 2015 FAX(317)ww222-3853
REA. w PTRINC.com
RENTED, TO
PARff
TM
CARMEL CLAY PARKS & RECREATION CARMEL MIDDLE SCHOOL Res# 139538
1235 CENTRAL PARK DRIVE EAST 300 S GUILFORD
CARMEL IN 46032 CARMEL IN 46032
Loc 100
DATE,
AR-795.2010 W (317) 573-5243 OUT 06/16/15 AM JP
F (317) 573-5254
'. :; PO/JOB'.:.# . .:z t". " :� •-RECEIVED. 8Y . " '
LJ CCPR CAMP FOOD WEEK ALYSSA CLARK 966.1288 DUE 06/18/15 PM JP
RESERVATION Charge for 1.00 Day(s) Page: 1
QTY- ITEM _ - DAY EXT AMT NET AMT
Rental Text BILLING
DEL: TUES 6/16 ANYTIME
CALL ALYSSA 1ST! !
PU: THURS 6/18 ANYTIME
**NO SU/TD**
1 6455-0000 CONCESSION SNOW CONE MACHINE 47.00 47,00 47.00
REMOVE ALL DEBRIS PRIOR TO RETURN
DO NOT DISASSEMBLE MACHINE - CALL 317.252.3832
**DO NOT USE ON AN EXTENSION CORD**
1 5005-0000 CONCESSION DOME FOR CC MACHINE 15.00 15.00 15.00
REMOVE ALL DEBRIS PRIOR TO RETURN
1 6010 SNOCONE CUPS/200 9.99 9.99 9.99
1 6018 SYRUP BLUE RASPBERRY 12.25 12.25 12.25
1 6020 SYRUP GRAPE 12.25 12.25 12.25
3 6021 SYRUP PUMP 5.99 17.97 17.97
1 6022 SYRUP CHERRY 12.25 12.25 12.25
1 46032 CARMEL P/D-32 65.00 65.00 65.00
----- Payments ------
No Payment Made
.a
d
N
d
If there are any problems WHATSOEVER with any of our equipment,please call 317-252-3832, m
There will NOT be any credits or adjustments to this order,unless this phone call is made. RENT 62.00 t
Initials SALES 129.71 a
FARETo RELURN PROPERLY(LEASED}TO LESSOR WITHIN 72 HOURS AFTER MGR®TIMS CONSTIRM PRIMA FACIE OTHER 0.00
0.0
RDENCE OF UNALITHORM)CONTROL OVER SAID PROPERTY WHICH CAN CONSTITUTES THMTHEFr IS PUNISI-IABLE BY 2 DMG WAIVER 3.72
YEARS IN PRISON PLUS UPTO A$10,000 FINE EOUIPMBNT R94TO ON THIS CONTRACT IS NOT FOR SALE
I HAVE BEEN INSTRUCTED&DEMONSTRATED ON THE SAFE&PROPER OPERATION OF THE ABOVE ADDL TAX 0.00 a
EQUIPMENT AND I FULLY UNDERSTAND THOSE INSTRUCTIONS. SALES TAX 0.00
The undersigned having read and understood the above terms as well as the AdditionalTerms and Conditions on there
reverse side hereof,hereby agrees to rent the alwve equipmeaMcles on the terms and conditions set forth in this DEPOSIT 0.00 TOTAL PAID 0.00 �
Rental Agreement,and is an authorized agent for the Lessee. EST AMT DUE 195.43
TOTAL DUE 195.43 30-MAR-15 16:22:37
m
EQUIPMENT LEASED BY X
o
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
237300 Party Time Rental
7250 North Keystone Ave. Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/16/15 139538 Summer Experience Equipment rental 6/17/15 'xx2201 $ 195.43
Totall Is 195.43
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
Voucher No.. Warrant No.
Allowed 20
237300 Party Time Rental
7250 North Keystone Ave.
Indianapolis, IN 46240 In Sum of$
$ 195.43
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Deptept#
1082-12 139538 4340800 $ 195.43 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
I
materials or services itemized thereon for
4 which charge is made were ordered and
received except
f '
May 28,2015
l
Signature
$ 195.43 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I